摘要
目的探讨肺结核致肺心病的临床特点及其防治措施。方法对85例肺结核致肺心病的临床表现、实验室检查及治疗措施进行分析。结果肺结核致肺心病的死因主要为呼衰;发热以低热为主,咳痰以白粘液为主;中性粒细胞多增高,达78.8%;常合并电解质紊乱;胸片以斑片状影多见,达82.3%;肺心病合并冠心病约占37.6%,但冠心病症状多不典型;常合并肝功能损害、上消化道病变。结论肺结核致肺心病是慢性病理过程的结果,常合并多脏器功能改变,除常规抗炎、抗结核、止咳祛痰外,加强营养及中药制剂有助增强疗效。
Objective To report 85 cases with chronic pulmonary heart disease caused by pulmonary tuberculosis. Methods Clinical manifestations,laboratory examinations and treatment methods of 85 in patients from 1993,11 to 2004,9 were studied. Results The patients mainly died of pulmonary failure with low to middle degree fever. And always complicated with electrolyte distort. The subjects(37.6%) were compared with coronaryatherosclerosis heart disease. However their clinical manifestations were not obvious.The most patients present abnormal hepatic function and upper gastron intestional disease. Conclusion Pulmonary heart diseases is result of chronic pathological course, always complicated with abnormal multiorganic functions. In addition to anti-bacteria 、anti-tuberculosis and syndrome anagement, Chinese medicine and nutrition support can improve effect of treatment .
出处
《江西医学院学报》
2005年第2期71-72,共2页
Acta Academiae Medicinae Jiangxi
关键词
肺源性心脏病
肺结核
临床特点
治疗
pulmonary heart disease
pulmonary tuberculosis
clinical characteristic
treatment
